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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">glaucoma</journal-id><journal-title-group><journal-title xml:lang="ru">Национальный журнал Глаукома</journal-title><trans-title-group xml:lang="en"><trans-title>National Journal glaucoma</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-4104</issn><issn pub-type="epub">2311-6862</issn><publisher><publisher-name>Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.53432/2078-4104-2025-24-3-52-64</article-id><article-id custom-type="elpub" pub-id-type="custom">glaucoma-585</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW OF LITERATURE</subject></subj-group></article-categories><title-group><article-title>Хронобиологические подходы к изучению прогрессирования первичной открытоугольной глаукомы</article-title><trans-title-group xml:lang="en"><trans-title>Chronobiological approaches to studying the progression of primary open-angle glaucoma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3679-8619</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малишевская</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Malishevskaya</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., заведующая отделением аналитической работы, доцент кафедры непрерывного медицинского образования</p><p>105064, Москва, ул. Садовая-Черногрязская, 14/19</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Head of the Department of Analytical Work, Associate Professor at the Department of Continuing Medical Education</p><p>14/19 Sadovaya-Chernogryazskaya St., Moscow, 105064 </p></bio><email xlink:type="simple">malishevskoff@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-2258-2207</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рензяк</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Renziak</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ассистент кафедры офтальмологии, заведующая стационарным отделением офтальмологического центра</p><p>625051, Тюмень, ул. Прокопия Артамонова, 5/11</p><p>628012, Ханты-Мансийск, ул. Калинина, 40</p></bio><bio xml:lang="en"><p>Assistant Professor at the Academic Department of Ophthalmology, Head of the Inpatient Department of the Ophthalmological Center</p><p>5/11 Prokopy Artamonov St., Tyumen, 625051</p><p>40 Kalinina St., Khanty-Mansiysk, 628012</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2028-1033</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Губин</surname><given-names>Д. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Gubin</surname><given-names>D. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор, заведующий лабораторией хронобиологии и хрономедицины Университетского НИИ биотехнологий и биомедицины, профессор кафедры биологии, ведущий научный сотрудник Отделения артериальной гипертонии и коронарной недостаточности научного отдела клинической кардиологии</p><p>625150, Тюмень, ул. Одесская, 54</p><p>625026, Тюмень, ул. Мельникайте, 111</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor, Head of the Laboratory of Chronobiology and Chronomedicine at the University Research Institute of Biotechnology and Biomedicine, Professor at the Academic Department of Biology, Leading Researcher at the Department of Arterial Hypertension and Coronary Insufficiency of the Scientific Department of Clinical Cardiology</p><p>54 Odesskaya St., Tyumen, 625150</p><p>111 Melnikaite St., Tyumen, 625026</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3104-3639</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коломейчук</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kolomeychuk</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.б.н., заведующий лабораторией геномики, протеомики, метаболомики Университетского НИИ биотехнологий и биомедицины, старший научный сотрудник лаборатории генетики Института биологии, научный сотрудник рабочей группы по сомнологии научно-исследовательского отдела артериальной гипертензии</p><p>625150, Тюмень, ул. Одесская, 54</p><p>185910, Петрозаводск, ул. Пушкинская, 11</p><p>197341, Санкт-Петербург, ул. Аккуратова, 2</p></bio><bio xml:lang="en"><p>Cand. Sci. (Biol.), Head of the Laboratory of Genomics, Proteomics and Metabolomics at the University Research Institute of Biotechnology and Biomedicine, Senior Researcher at the Laboratory of Genetics at the Institute of Biology, Researcher of the Somnology Working Group at the Research Department for Arterial Hypertension</p><p>54 Odesskaya St., Tyumen, 625150</p><p>11 Pushkinskaya St., Petrozavodsk, 185910</p><p>2 Akkuratova St., Saint Petersburg, 197341</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7729-097X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зумбулидзе</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Zumbulidze</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., доцент кафедры офтальмологии </p><p>191015, Санкт-Петербург, ул. Кирочная, 41</p></bio><bio xml:lang="en"><p>Cand. Sci. (Med.), Associate Professor at the Academic Department of Ophthalmology </p><p>41 Kirochnaya St., Saint Petersburg, 191015 </p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-9449-321X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Захарова</surname><given-names>Е. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Zakharova</surname><given-names>E. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., заведующая офтальмологическим отделением </p><p>677005, Якутск, ул. Свердлова, 15</p></bio><bio xml:lang="en"><p>Cand. Sci. (Med.), Head of Ophthalmology Department </p><p>15 Sverdlova St., Yakutsk, 677005 </p></bio><xref ref-type="aff" rid="aff-6"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ глазных болезней им. Гельмгольца»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>АНЧОО ДПО «Западно-Сибирский институт последипломного медицинского образования» ; БУ Ханты-Мансийского автономного округа — Югры «Окружная клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>West Siberian Institute of Postgraduate Medical Education ; District Clinical Hospital of the Khanty-Mansi Autonomous Okrug – Yugra</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тюменский государственный медицинский университет» ; «Тюменский кардиологический научный центр, филиал Томского НИМЦ РАМН»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen State Medical University ; Tyumen Cardiology Research Center — branch of the Tomsk Scientific Research Center of the Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тюменский государственный медицинский университет» ; ФИЦ «Карельский научный центр РАН» ; ФГБУ «Национальный медицинский исследовательский центр имени В.А. Алмазова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tyumen State Medical University ; Karelian Scientific Center of the Russian Academy of Sciences ;  Almazov National Medical Research Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western State Medical University named after I.I. Mechnikov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ГАУ республики Саха (Якутия) «Якутская республиканская офтальмологическая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yakutsk Republican Ophthalmological Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>13</day><month>09</month><year>2025</year></pub-date><volume>24</volume><issue>3</issue><fpage>52</fpage><lpage>64</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Малишевская Т.Н., Рензяк Е.В., Губин Д.Г., Коломейчук С.Н., Зумбулидзе Н.Г., Захарова Е.К., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Малишевская Т.Н., Рензяк Е.В., Губин Д.Г., Коломейчук С.Н., Зумбулидзе Н.Г., Захарова Е.К.</copyright-holder><copyright-holder xml:lang="en">Malishevskaya T.N., Renziak E.V., Gubin D.G., Kolomeychuk S.N., Zumbulidze N.G., Zakharova E.K.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.glaucomajournal.ru/jour/article/view/585">https://www.glaucomajournal.ru/jour/article/view/585</self-uri><abstract><p>Достижения хронобиологии последних лет позволили по-новому взглянуть на природу комплексных изменений во временно́ й организации биологических процессов в организме, которые происходят при старении. Вероятность развития и прогрессирования первичной открытоугольной глаукомы с возрастом резко возрастает. В последние годы о глаукоме стали говорить, как о дисрегуляторной патологии, для которой характерны нарушения целостности и иерархичности системы саморегуляции и гомеостатического функционирования на уровне всего организма. В обзорной статье представлены данные зарубежных и отечественных исследователей по изучению хронобиологических аспектов в патогенезе глаукомы.</p></abstract><trans-abstract xml:lang="en"><p>Recent advances in chronobiology have provided new insights into the nature of complex changes in the temporal reorganization of biological processes in the body that occur with aging. The risk of developing and progressing primary open-angle glaucoma (POAG) increases dramatically with age. In recent years, glaucoma has been regarded to as a dysregulatory condition characterized by impaired integrity and hierarchy in the self-regulation and homeostatic systems of the body. The review article presents data from Russian and foreign researchers on the study of chronobiological aspects in the pathogenesis of glaucoma.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>первичная открытоугольная глаукома</kwd><kwd>циркадные ритмы</kwd><kwd>меланопсинсодержащие ганглиозные клетки сетчатки</kwd><kwd>сон</kwd><kwd>депрессия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>primary open-angle glaucoma</kwd><kwd>circadian rhythms</kwd><kwd>melanopsin-containing retinal ganglion cells</kwd><kwd>sleep</kwd><kwd>depression</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Gubin D., Nelaeva A., Uzhakova A. et al. Disrupted circadian rhythms of body temperature, heart rate and fasting blood glucose in prediabetes and type 2 diabetes mellitus. 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